Director, Revenue Cycle Management

Director, Revenue Cycle Management New Season - 2.4 Maitland, FL Job Details Full-time 8 hours ago Qualifications Microsoft Excel Administrative experience ICD-10 Data management

Full Job Description Description Job Summary:

Responsible for overseeing and coordinating revenue cycle activities with a goal of maximizing reimbursement in cost effective manner that is in compliance with federal, state, and payor-specific billing requirements. Revenue cycle activities include payor contracting, negotiation, registration, credentialing, coding, charge capture, charge entry, billing, collecting, payment entry, and reimbursement analysis. The Revenue Cycle Manager is also responsible for supervising and developing the Accounts Receivable Billing Manager. Finally, this position will be responsible for establishing productivity standards/goals and monitoring performance against these.

Essential Functions:

Develops, implements, and maintains CMG revenue cycle standard operating procedures. Ensure patient eligibility is checked and benefits are verified in accordance with payor contracts and as necessary to minimize accounts receivable exposure. Ensures authorizations are obtained for required services Ensures cash posting is timely and accurate Ensures timely and accurate billing of claims to payors. Ensures patient financial concerns are addressed, including but not limited to insurance coverage and refunds. Monitors accounts receivable aging and ensure appropriate collection procedures are being followed. Establishes internal collection goal(s) and regularly compares to identified external benchmark(s). Resolves escalated reimbursement issues with payors. Participates in/project manage special projects as requested/required. Participates in the review of payor contracting including credentialing, and on-going contract compliance.

Supervisory Responsibilities:

Provides leadership and guidance to the Accounts Receivable Billing Manager, Patient Registration Supervisors, Patient Access Supervisor, Manger Cash Applications, and Manager NPFC in the conduct of their job. Accurately assesses each strengths and development needs and provides timely feedback and coaching.

Essential Qualifications:

Education/Certification:

Bachelor's degree or equivalent in business or related field required

Required Knowledge:

Proficiency in Microsoft Excel. Strong knowledge of medical billing, including ICD-10. Knowledge of behavior health billing.

Experience Required:

Minimum 8 years of revenue cycle experience with at least 5 years being in a healthcare environment. At least four years medical revenue cycle management experience required. Experience with behavioral health billing preferred.

Skill and Ability:

Ability to work collaboratively with colleagues. Strong organizational skills with a keen ability to prioritize and multi-task. Ability to adhere to and meet deadlines. Good communicator (oral and written). Strong administrative and data management skills. Ability to raise issues proactively and in a timely manner. Job or State Requirements Bachelor's degree or equivalent in business or related field required. Minimum 8 years of revenue cycle experience with at least 5 years being in a healthcare environment. At least four years medical revenue cycle management experience required. Experience with behavioral health billing preferred.